| NPI | 1023368453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 23313) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 846580) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2024-04-30 |