| NPI | 1366060857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95014436) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014436) |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2025-06-30 |