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Individual provider · Family Nurse Practitioner · Los Angeles, CA

NPI

1023860715

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

95018122 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2024-04-04

Last updated

2024-04-04