| NPI | 1235606807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 272985) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95010176) |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2022-10-25 |