| NPI | 1871212605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95025067) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: CA 807664) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2023-05-03 |