| NPI | 1528307659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95009540) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 001480) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 809970) | |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2021-06-22 |