| NPI | 1104082155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 9042) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 531129) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2024-08-29 |