| NPI | 1336585256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 21212) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 21212) |
| Enumeration Date | 2013-05-18 |
| Last Update Date | 2013-05-18 |