| NPI | 1871255240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95018747) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95103494) |
| 163WX0200X Registered Nurse Oncology (Licence: CA 95103494) | |
| 363LF0000X Nurse Practitioner Family (Licence: CA 95018747) | |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2022-11-21 |