| NPI | 1083259899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013758) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 828947) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2020-03-12 |