| NPI | 1114666765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: CA NPF95021120) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021120) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2023-11-01 |