| NPI | 1740985878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95030859) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95025355) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2024-07-17 |