| NPI | 1619545928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017509) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95017509) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2024-02-09 |