| NPI | 1558032946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP13890) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 542398) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2022-01-31 |