| 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 |