| NPI | 1932567880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202010478) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 772883) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95003289) | |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2024-07-11 |