| NPI | 1255741906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001449) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 684863) |
| Enumeration Date | 2014-05-03 |
| Last Update Date | 2014-10-25 |