| NPI | 1821511221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95010460) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F07170044) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-01-12 |