| NPI | 1063880235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95020941) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8038) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2023-01-04 |