| NPI | 1205495033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95012538) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 820884) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2024-10-11 |