| NPI | 1376201723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019880) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 10232) |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2023-09-28 |