| NPI | 1154939163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95022844) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: CA 95140297) |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2024-01-22 |