| NPI | 1194970574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP 18177) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN 719487) |
| 163W00000X Registered Nurse (Licence: MD R 175167) | |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2008-11-26 |