| NPI | 1043708456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95008764) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95008764) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95008764) | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2021-04-21 |