| NPI | 1750722666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95002903) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 200867) |
| 163W00000X Registered Nurse (Licence: CA 811406) | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2019-10-23 |