| NPI | 1265127138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95025102) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 700707) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2024-02-20 |