| NPI | 1780016097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23448) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 757451) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2017-04-09 |