| NPI | 1285342642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023357) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F10221515) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 2022068231) | |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2023-02-13 |