| NPI | 1659639144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP 21691) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: CA RN 700630) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2023-12-22 |