| NPI | 1871324905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95026756) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95026756) |
| Enumeration Date | 2024-08-10 |
| Last Update Date | 2024-08-10 |