| NPI | 1437930245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95028388) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1137265) |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-12-19 |