| NPI | 1659014108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: CA 95020488) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA 95020488) |
| 363L00000X Nurse Practitioner (Licence: CA 95020488) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95020488) | |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-07-13 |