| NPI | 1295124469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002087) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 820563) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-03-06 |