| NPI | 1043923402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 653499) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 653499) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95023689) | |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2023-01-02 |