| NPI | 1851071823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95027695) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 651319) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-12-19 |