| NPI | 1174192512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020330) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 606009) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2024-06-17 |