| NPI | 1225179062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 16942) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN 574386) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2023-01-18 |