| NPI | 1891083804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 18383) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 536623) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 18383) | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2024-01-26 |