| NPI | 1003475450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95012996) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012996) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2022-05-09 |