| NPI | 1346963303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95023075) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: CA 95066198) |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2023-08-01 |