| NPI | 1124451240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP23247) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F341721) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2020-06-08 |