| NPI | 1952045825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029871) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95274941) |
| 363L00000X Nurse Practitioner (Licence: CA 95029871) | |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2024-10-02 |