| NPI | 1821680299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5020621) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R227944) |
| 163W00000X Registered Nurse (Licence: CA 95264704) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95023186) | |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2024-09-18 |