| NPI | 1194375568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016983) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95130677) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2023-06-14 |