| NPI | 1114275336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95005434) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 495309) |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2017-04-20 |