| NPI | 1669214367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95032432) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1074519) |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-10-30 |