| NPI | 1700269933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003779) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 1700269933) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2025-02-10 |