| NPI | 1326704016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 802315) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 2020043945) |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2021-11-17 |