| NPI | 1508622549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95032367) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95042109) |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-09-30 |