| NPI | 1609149434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 21617) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 571234) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2021-11-17 |