| NPI | 1255000493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019189) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA F07211617) |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2022-09-06 |