| NPI | 1699399139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 681529) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: CA 681529) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2022-08-10 |