| NPI | 1386724078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 11277278-4405) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC25070) |
| 163W00000X Registered Nurse (Licence: CA 95111072) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2022-01-14 |