| NPI | 1023784881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95018143) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018143) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95018143) | |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-08-20 |