| NPI | 1689185043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008070) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F10170060) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2023-01-04 |