| NPI | 1346960168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95027823) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 227185) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2024-02-06 |