| NPI | 1003379207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95013990) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: AL 1-141039) |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2020-03-03 |