| NPI | 1518144658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CA 16694) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 608924) |
| 363L00000X Nurse Practitioner (Licence: CA 16694) | |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |