| NPI | 1245953686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022389) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95131887) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-30 |