| NPI | 1750928552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95013140) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 95013140) |
| Enumeration Date | 2019-11-30 |
| Last Update Date | 2024-06-28 |