| NPI | 1639709926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018203) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 767677) |
| Enumeration Date | 2020-01-25 |
| Last Update Date | 2021-12-29 |