| NPI | 1205438181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95031101) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 834286) |
| Enumeration Date | 2020-11-15 |
| Last Update Date | 2025-05-20 |