| NPI | 1679812655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 255675) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP 22476) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2021-09-23 |