| NPI | 1801488143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015986) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015986) |
| 2085R0001X Radiology, Radiation Oncology (Licence: CA 95015986) | |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2023-07-17 |