| NPI | 1598075418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95021873) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 783095) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2023-09-22 |