| NPI | 1013284041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 23112) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 797559) |
| 163WC1500X Registered Nurse Community Health (Licence: CA 80660) | |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2013-08-13 |