| NPI | 1669897963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95000403) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 364S00000X Clinical Nurse Specialist (Licence: CA 3907) | |
| Enumeration Date | 2014-02-23 |
| Last Update Date | 2024-02-09 |