| NPI | 1619433117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013705) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95084312) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2023-07-10 |