| NPI | 1356019921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95022587) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA RN95145118) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2022-09-27 |