| NPI | 1831661370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95010871) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95010871) |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2019-06-14 |