| NPI | 1538685334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006000) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA 95006000) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95006000) | |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2017-12-20 |