| NPI | 1003524844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020930) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN639296) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2023-11-15 |