| NPI | 1467730051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95006954) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-125318) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2018-11-05 |