| NPI | 1841899200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016941) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CA 564352) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 224964) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 842268) | |
| Enumeration Date | 2020-10-18 |
| Last Update Date | 2022-04-14 |