| NPI | 1669713954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001024) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 338520) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2023-07-30 |