| NPI | 1407263676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000753) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 807017) |
| Enumeration Date | 2014-07-19 |
| Last Update Date | 2023-11-01 |