| NPI | 1750772000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95001943) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 745193) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NPF95001943) | |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2019-09-19 |