| NPI | 1740716984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006578) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: CA 95006578) |
| Enumeration Date | 2017-05-09 |
| Last Update Date | 2020-02-12 |