| NPI | 1649711813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008057) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 728063) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2020-08-17 |