| NPI | 1114216793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP18761) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN732848) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2015-04-14 |