| NPI | 1558819649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95005326) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95005326) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 2005041) | |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2021-04-20 |