| NPI | 1154987634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95010935) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95010935) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95010935) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95010935) | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2020-12-30 |