| NPI | 1164148722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022848) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95120805) |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2024-06-04 |