| NPI | 1376816371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP 21673) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 500448) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2024-07-18 |