| NPI | 1225748791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95023851) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 950223851) |
| Enumeration Date | 2022-11-25 |
| Last Update Date | 2024-07-19 |