| NPI | 1841967619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95032946) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95256280) |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2025-01-19 |