| NPI | 1194476754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA F12210439) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA F12210439) |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2025-12-12 |