| NPI | 1689119596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95013081) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F1216308) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9338769) | |
| Enumeration Date | 2016-12-31 |
| Last Update Date | 2022-03-24 |