| NPI | 1851761894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009570) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95009570) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9357496) | |
| 163W00000X Registered Nurse (Licence: FL 9357496) | |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9357496) | |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2023-06-28 |