| NPI | 1134889868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019214) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11016160) |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2022-02-12 |