| NPI | 1912493180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95020576) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11002531) |
| 163W00000X Registered Nurse (Licence: CA 95280076) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 12.007752) | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2024-03-20 |