| NPI | 1457754202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001774) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 6043-33) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2022-10-27 |