| NPI | 1205277365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001986) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F338594) |
| 163W00000X Registered Nurse (Licence: CA 842353) | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2015-05-26 |