| NPI | 1881280774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014892) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95146058) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2020-12-15 |