| NPI | 1194975003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4705) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP21518) |
| Enumeration Date | 2008-09-27 |
| Last Update Date | 2020-08-28 |