| NPI | 1407225121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002805) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 705251) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95002805) | |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2025-03-17 |