| NPI | 1740790724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005931) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11011134) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2025-04-28 |