| NPI | 1770765547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020157) |
| Additional Taxonomies | 101Y00000X Counselor |
| 163W00000X Registered Nurse (Licence: CA 814988) | |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2023-03-16 |