| NPI | 1922519784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95025666) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95030964) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2023-06-29 |