| NPI | 1588809651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP15590) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 15590) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2020-12-14 |