| NPI | 1497451413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021489) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 08221225) |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-11-08 |