| NPI | 1942670229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201608621NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 731055) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 281990) | |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2022-03-24 |