| NPI | 1023580966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015103) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: CA 803346) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2023-05-01 |