| NPI | 1679265979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95021627) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 795542) |
| 163WH0200X Registered Nurse Home Health (Licence: CA 795542) | |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-05-24 |