| NPI | 1336873298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022215) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 817142) |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2023-06-13 |