| NPI | 1326270877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 20639) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 792044) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2019-12-20 |