| NPI | 1801612973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 16899) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 554027) |
| 363L00000X Nurse Practitioner (Licence: CA 16899) | |
| Enumeration Date | 2024-11-22 |
| Last Update Date | 2025-03-28 |