| NPI | 1649640475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007894) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R199206) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2022-10-25 |