| NPI | 1730522764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 825676) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 22776) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2020-01-27 |