| NPI | 1205520855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95026174) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95163375) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2024-06-29 |