| NPI | 1720527336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007613) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95140746) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2023-12-16 |