| NPI | 1508089897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA RN402566) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 7306) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2024-04-19 |