| NPI | 1740549286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002821) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337120-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95002821) | |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2024-02-12 |