| NPI | 1598127755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 553516) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95002272) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |