| NPI | 1336769728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF95016479) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 644401) |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2021-10-21 |