| NPI | 1326325069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20784) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 521106) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2024-09-17 |