| NPI | 1417494014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 492782) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 13154) |
| Enumeration Date | 2017-01-21 |
| Last Update Date | 2017-01-21 |