| NPI | 1134563695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP22782) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 22782) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2018-04-02 |