| NPI | 1669944963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011212) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 723640) |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2019-05-09 |