| NPI | 1386263804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 692808) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-12-07 |