| NPI | 1770139461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95013089) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA 95066026) |
| Enumeration Date | 2019-08-17 |
| Last Update Date | 2023-10-21 |