| NPI | 1689066490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001957) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 95001957) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2024-11-11 |