| NPI | 1205567583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022195) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 572390) |
| 163WG0000X Registered Nurse, General Practice (Licence: CA 572390) | |
| Enumeration Date | 2022-06-18 |
| Last Update Date | 2023-04-21 |