| NPI | 1982420519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015433) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: CA 95072499) |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2024-11-27 |