| NPI | 1053644435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003070) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R170784) |
| 163W00000X Registered Nurse (Licence: DC RN1009691) | |
| 174400000X Specialist (Licence: MD R170784) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1009691) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2016-05-24 |