| NPI | 1457106718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95131300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95180319) |
| 163W00000X Registered Nurse (Licence: NC 270446) | |
| Enumeration Date | 2024-04-20 |
| Last Update Date | 2024-09-25 |