| NPI | 1386426559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA f11210818) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 95195971) |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2023-10-20 |