| NPI | 1053640581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 22527) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 763892) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2018-06-10 |