| NPI | 1295371748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018927) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95109439) |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2022-02-07 |