| NPI | 1811755333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA F02241109) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA F02241109) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |