| NPI | 1104379692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP95006724) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 701944) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2022-07-21 |