| NPI | 1669088258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015989) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 682730) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 682730) | |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-12-07 |