| NPI | 1164081006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP9501518) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011518) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2024-04-24 |