| NPI | 1154930667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013167) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95077829) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2023-01-11 |