| NPI | 1093358533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP95014217) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2321572) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2025-02-18 |