| NPI | 1053772889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 9001426) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001426) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2024-01-17 |