| NPI | 1447628011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 876850) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA F07151394) |
| 363L00000X Nurse Practitioner (Licence: CA 716817) | |
| Enumeration Date | 2015-09-12 |
| Last Update Date | 2024-02-26 |