| NPI | 1245314582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 12379) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 579386) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2022-02-11 |