| NPI | 1962015941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015139) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95015139) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2021-02-06 |