| NPI | 1477270932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA F08240837) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95137355) |
| 363L00000X Nurse Practitioner (Licence: CA 95024341) | |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2025-03-03 |