| NPI | 1699760090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 14920) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 14920) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA 14920) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 70218) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 14920) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2023-02-02 |