| NPI | 1831494293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019942) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 336535) |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2022-12-05 |