| NPI | 1346603248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95006348) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 835264) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2022-01-27 |