| NPI | 1508190380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020013) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN214098) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2024-01-21 |