| NPI | 1861908253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95035809) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 692302) |
| 163W00000X Registered Nurse (Licence: CA 95244736) | |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2025-09-03 |