| NPI | 1790261634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019802) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 95145492) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2023-11-13 |