| NPI | 1912266925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95028926) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f336779-1) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2025-03-14 |