| NPI | 1619246071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 337922) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 805445) |
| 175F00000X Naturopath (Licence: CA ND-480) | |
| 363L00000X Nurse Practitioner (Licence: CA 21394) | |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2018-01-26 |