| NPI | 1588210785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95196525) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95012895) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-09-24 |