| NPI | 1750059374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029317) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ 227819) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2024-06-25 |