| NPI | 1760008452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016974) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95043891) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2021-11-18 |