| NPI | 1063129351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 41256) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023175) |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2026-04-06 |