| NPI | 1679753735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95004945) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 560304) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2022-06-16 |