| NPI | 1386104230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95030915) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 712141) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95030915) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-05-12 |