| NPI | 1205203684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002832) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95002832) |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: CA 95002832) | |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2022-02-09 |