| NPI | 1750869426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013919) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95102341) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2020-02-17 |