| NPI | 1548883002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017155) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F05200314) |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2021-06-25 |