| NPI | 1982020830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 737406) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9433244) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9433244) | |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2023-07-03 |