| NPI | 1760978225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95017726) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: CA 847723) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2022-09-09 |