| NPI | 1659142610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95026195) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95173921) |
| 363L00000X Nurse Practitioner (Licence: CA 95026195) | |
| 363LC1500X Nurse Practitioner Community Health (Licence: CA 556747) | |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |