| NPI | 1457998122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA 95012897) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012897) |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2024-10-23 |