| NPI | 1376965012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23330) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 705321) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2020-02-20 |