| NPI | 1528564390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 404663) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 9831) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |