| NPI | 1689250987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 2021013273) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 2021013273) |
| 363L00000X Nurse Practitioner (Licence: CA 95017159) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95017159) | |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2021-08-02 |