| NPI | 1265075345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95022709) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95268638) |
| 163W00000X Registered Nurse (Licence: MA RN2319730) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MA RN2319730) | |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2023-05-30 |