| NPI | 1649969460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95027393) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: CA 95224230) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2024-09-16 |