| NPI | 1467810424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004666) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95077800) |
| 163W00000X Registered Nurse (Licence: IN 28209089A) | |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2019-07-21 |