| NPI | 1265088116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95012491) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95012491) |
| 261QU0200X Clinic/Center, Urgent Care (Licence: CA 95012491) | |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2022-03-28 |