| NPI | 1972844371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000585) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657411-1) |
| 163W00000X Registered Nurse (Licence: CA 852291) | |
| Enumeration Date | 2013-03-09 |
| Last Update Date | 2021-12-04 |