| NPI | 1760073951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95016547) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner Community Health (Licence: CA 95016547) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95016547) | |
| 363L00000X Nurse Practitioner (Licence: CA 95016547) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95016547) | |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2024-06-20 |