| NPI | 1699429704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95022514) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95022514) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2023-06-26 |