| NPI | 1356095590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021046) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95071278) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2023-03-29 |