| NPI | 1861880122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001588) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 95001588) |
| 363L00000X Nurse Practitioner (Licence: CA 569250) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 569250) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 569250) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95001588) | |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2021-01-19 |