| NPI | 1366761322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013545) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 664576) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2021-05-14 |