| NPI | 1629591938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029942) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 207097) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2024-05-24 |