| NPI | 1295310399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010840) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95053970) |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2024-06-25 |