| NPI | 1396261673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007148) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007148) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2024-01-17 |