| NPI | 1356085740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95037569) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA F10210136) |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2022-08-11 |