| NPI | 1427094333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 14049) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 14049) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2017-11-20 |