| NPI | 1144209362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95023141) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 181300) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2023-05-19 |