| NPI | 1730897174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95023003) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95300941) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95023003) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95023003) | |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2023-11-10 |