| NPI | 1700184249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19224) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 718035) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 19224) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 19224) | |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |