| NPI | 1962134692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA NP95021536) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: CA 95065306) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-07-21 |