| NPI | 1356873715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006733) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 22322) |
| 164W00000X Licensed Practical Nurse (Licence: TN APN0000022322) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2022-03-08 |