| NPI | 1093554008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95030184) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95247407) |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-07-28 |