| NPI | 1093160533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23391) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 720762) |
| 364S00000X Clinical Nurse Specialist (Licence: CA 3647) | |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2022-10-25 |