| NPI | 1740763036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA NP95010910) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9417317) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95010910) | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2024-02-02 |