| NPI | 1033490321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 21099) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 797258) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2016-08-07 |