| NPI | 1184291924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95020932) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 95217910) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2023-05-30 |