| NPI | 1184171183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CA 714074) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 95006329) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2022-07-21 |