| NPI | 1114238797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029240) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2024-09-04 |