| NPI | 1417436197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010433) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000024582) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2021-12-27 |