| NPI | 1053173757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95028821) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95243525) |
| 363L00000X Nurse Practitioner (Licence: CA 95028821) | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-02-27 |