| NPI | 1689278087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95016044) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95048514) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2023-09-01 |