| NPI | 1922604289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016866) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95139968) |
| 363L00000X Nurse Practitioner (Licence: CA 95016866) | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2022-03-01 |