| NPI | 1528333481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 21667) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 807299) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: CA 21667) | |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2016-04-20 |