| NPI | 1598122848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 95003393) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003393) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-02-05 |