| NPI | 1083265565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95012757) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 749649) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2022-10-07 |