| NPI | 1811517089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95014214) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 675861) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95014214) | |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2023-11-27 |