| NPI | 1780127118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95030513) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC16327) |
| Enumeration Date | 2016-12-03 |
| Last Update Date | 2026-07-14 |