| NPI | 1346089141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA F05240146) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95029738) |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-08-04 |