| NPI | 1811541790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95023053) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 148086) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2022-11-15 |