| NPI | 1992348239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013642) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11004541) |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2023-09-12 |