| NPI | 1083221840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023466) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95204140) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: KY 1156519) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95203466) | |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2022-12-01 |