| NPI | 1871013383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008848) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95129331) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2019-09-21 |