| NPI | 1427620723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017695) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017695) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2024-07-09 |