| NPI | 1013376029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005386) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95104974) |
| 163WH0200X Registered Nurse, Home Health (Licence: MA RN2299267) | |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2023-08-07 |