| NPI | 1306563754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023874) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95317797) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: VT 026.0140134) | |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2023-03-18 |