| NPI | 1821500216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95008054) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA Student) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 829047) | |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2018-05-02 |