| NPI | 1285259416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014321) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0999914) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2025-02-11 |