| NPI | 1447675178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000464) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 653795) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |