| NPI | 1295470581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025348) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL F03220342) |
| Enumeration Date | 2022-05-01 |
| Last Update Date | 2023-06-02 |