| NPI | 1386937035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002544) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001287) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 108007018900) | |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2021-06-15 |