| NPI | 1083233894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014539) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 578318) |
| Enumeration Date | 2020-04-11 |
| Last Update Date | 2022-10-10 |