| NPI | 1003439514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014823) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 847047) |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2021-12-08 |