| NPI | 1013553858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA 95012187) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012187) |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2022-06-20 |