| NPI | 1033869623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95034706) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 95103901) |
| 163WA2000X Registered Nurse, Administrator (Licence: CA 95103901) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95034706) | |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: CA 95034706) | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2025-04-15 |