| NPI | 1295275048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95003590) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 604846) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2023-04-19 |