| NPI | 1740900315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95022038) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86068082) |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-09-01 |