| NPI | 1225713829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95026260) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 2023006023) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-07-25 |