| NPI | 1427716612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95020382) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 756790) |
| Enumeration Date | 2021-12-04 |
| Last Update Date | 2022-03-17 |