| NPI | 1558999540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95012606) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: KY 1142209) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95012606) | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2024-09-17 |