| NPI | 1073361002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95028751) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95234260) |
| 163W00000X Registered Nurse (Licence: NY 789857) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 353837) | |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |