| NPI | 1437885837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NPF95021578) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: CA NP95021578) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2023-07-11 |