| NPI | 1033726278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95015918) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 721634) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-11-24 |