| NPI | 1053727982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95000802) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 738858) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2019-01-20 |