| NPI | 1538704515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012675) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95012675) |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2022-06-24 |