| NPI | 1346559556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 9545) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 9545) |
| 171000000X Military Health Care Provider (Licence: CA 9545) | |
| 253Z00000X In Home Supportive Care (Licence: CA 9545) | |
| 282NW0100X General Acute Care Hospital Women (Licence: CA 9545) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: CA 9545) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: CA 9545) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 9545) | |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |