| NPI | 1043966658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020525) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 682) |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2023-08-08 |