| NPI | 1639521065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005637) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 601774) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2023-09-18 |