| NPI | 1366945016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008288) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R185262) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2021-01-28 |