| NPI | 1003222035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95033241) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2024-12-11 |