| NPI | 1083982987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95004764) |
| Additional Taxonomies | 163WC1600X Registered Nurse Continuing Education/Staff Development (Licence: CA 672382) |
| 363L00000X Nurse Practitioner (Licence: CA NPF95004764) | |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2022-06-14 |