| NPI | 1760014831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015133) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95226584) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95015133) | |
| 163W00000X Registered Nurse (Licence: GA RN281401) | |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-09-13 |