| NPI | 1093838583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 16925) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 563873) |
| 163WW0000X Registered Nurse, Wound Care (Licence: CA 2005454535) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2010-08-19 |