| NPI | 1851901037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95021344) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI 2977) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2022-10-03 |