| NPI | 1154809010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95015084) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010814) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2021-01-27 |