| NPI | 1699209213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 800271) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95006467) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |