| NPI | 1386943546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20754) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 751355) |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2011-09-28 |