| NPI | 1013577550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013418) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 706869) |
| 163WG0000X Registered Nurse, General Practice (Licence: CA 706869) | |
| 207Q00000X Family Medicine (Licence: CA 95013418) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: CA 95013418) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95013418) | |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2025-08-08 |