| NPI | 1144956921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021514) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95222577) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-07-27 |