| NPI | 1114798030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029641) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 29410) |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2025-04-16 |