| NPI | 1568224483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95027821) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV 854064) |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-07-08 |