| NPI | 1861162679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95019511) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA F07211198) |
| 163W00000X Registered Nurse (Licence: CA 95122725) | |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2023-08-08 |