| NPI | 1689031346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95003700) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003700) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95003700) | |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-08-10 |