| NPI | 1255809000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 6475) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: CA 423518) |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-09 |