| NPI | 1750056255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018089) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 95018089) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2025-02-12 |