| NPI | 1992427751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: CA 95177598) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020364) |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-16 |