| NPI | 1134527641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95002007) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: CA 635899) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2015-01-30 |