| NPI | 1508652249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95034765) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 229920) |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-06-17 |