| NPI | 1952620965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP20573) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1014021) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2017-04-17 |