| NPI | 1538600549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95008214) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 1417346388) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2022-08-26 |