| NPI | 1669059846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95032574) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 828614) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2024-11-04 |