| NPI | 1235699406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP95011338) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9328983) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-11-25 |