| NPI | 1154089068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 2021104508) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F11210766) |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2024-05-22 |