| NPI | 1427633122 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208D00000X General Practice (Licence: CA 1497151443)  | 
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NPF95015847)  | 
| Enumeration Date | 2021-03-14 | 
| Last Update Date | 2023-04-20 |