| NPI | 1396476511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023226) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95202839) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2023-07-26 |