| NPI | 1144424904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 8921) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 264187) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2007-07-19 |