| NPI | 1093576126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 95028196) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: CA 95228571) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |