| NPI | 1790041580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95026591) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2023-09-22 |