| NPI | 1588063713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001126) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 681397) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2016-11-22 |