| NPI | 1780785923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 14190) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI 1898) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2021-06-30 |