| NPI | 1376219246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95025402) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 263318) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2025-02-27 |