| NPI | 1154520971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 10190) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 349769) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2012-03-16 |