| NPI | 1225531312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005515) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95051373) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95051373) | |
| 163WS0121X Registered Nurse, Plastic Surgery (Licence: CA 95051373) | |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |