| NPI | 1003645326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA F05240243) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA F05240243) |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-07-26 |