| NPI | 1710691928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95023575) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95023575) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2024-12-02 |