| NPI | 1376862102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WS0200X Registered Nurse School (Licence: CA 319725) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 16167) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2019-06-03 |