| NPI | 1467733360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 17605) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 598798) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2022-08-08 |