| NPI | 1902061906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 18533) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008485) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 18533) | |
| Enumeration Date | 2008-07-19 |
| Last Update Date | 2021-11-01 |