| NPI | 1124697388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95024163) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95198557) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2023-04-26 |