| NPI | 1518097450 |
|---|---|
| Former Name | MINETTE PLAZA PETAGARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 14325) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 505303) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2021-09-17 |