| NPI | 1417661489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95023511) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 849298) |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-01-13 |