| NPI | 1902381155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009979) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95107505) |
| 363L00000X Nurse Practitioner (Licence: CA 95009979) | |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2023-08-18 |