| NPI | 1831573633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP23637) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 731816) |
| 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 23637) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2023-08-02 |