| NPI | 1831861400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95033962) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 829190) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2025-04-10 |