| NPI | 1710272836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19379) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: CA 467144) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |