| NPI | 1861275067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025636) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 95025636) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2024-09-23 |