| NPI | 1083114508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008068) |
| Additional Taxonomies | 163WE0900X Registered Nurse, Enterostomal Therapy (Licence: CA 95008068) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2021-05-24 |