| NPI | 1033788898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017511) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95017511) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2023-06-26 |