| NPI | 1306151717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 19380) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 667215) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2011-04-26 |