| NPI | 1346552098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 16233) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 583567) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2010-07-10 |