| NPI | 1275130759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 196330) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 489709) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2024-01-25 |