| NPI | 1902302599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008800) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-06-03 |