| NPI | 1194759043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NPF13912) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP13912) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2011-01-07 |