| NPI | 1346900081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019733) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 839015) |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2022-01-17 |