| NPI | 1285306456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017573) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11014086) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2021-12-06 |