| NPI | 1609156868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016639) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9358434) |
| 164W00000X Licensed Practical Nurse (Licence: FL PN5189942) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008906) | |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2022-09-06 |