| NPI | 1265799522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016470) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA Dc21323) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2023-01-17 |