| NPI | 1528432952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95030327) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 835552) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2024-06-04 |