| NPI | 1265082838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95014065) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA F09190628) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2022-09-19 |