| NPI | 1912443003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95005860) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005860) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95005860) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95005860) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 95005860) | |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2021-12-06 |