| NPI | 1801402912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014855) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95014855) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2025-04-29 |