| NPI | 1528808318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95028085) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 95356663) |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-06-05 |