| NPI | 1902229578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000294) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000294) |
| Enumeration Date | 2014-02-01 |
| Last Update Date | 2023-06-09 |