| NPI | 1295565562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95028603) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95212170) |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-02 |