| NPI | 1528661436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013511) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA F08200002) |
| Enumeration Date | 2020-11-21 |
| Last Update Date | 2022-11-07 |