| NPI | 1952848236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005829) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 29683) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2021-07-21 |