| NPI | 1336817287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33153) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95084212) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95018426) | |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2023-03-21 |