| NPI | 1295719151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 9133) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 510339) |
| 363L00000X Nurse Practitioner (Licence: CA 510339) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2020-06-26 |