| NPI | 1720796378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95032165) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 95245051) |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: CA 95245051) | |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2025-05-14 |