| NPI | 1679243307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95017666) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95086641) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2023-06-26 |