| NPI | 1780038000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95009583) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 95068876) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2022-11-28 |