| NPI | 1003524893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022845) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NV 860482) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2024-01-29 |