| NPI | 1700322690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 95007610) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 384257) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2018-04-06 |