| NPI | 1770191538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022828) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 2025223) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2023-02-09 |