| NPI | 1427630417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017821) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 622859) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2022-02-05 |