| NPI | 1033783642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017264) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95017264) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2022-03-18 |