| NPI | 1710324694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 22896) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 22896) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2023-05-26 |