| NPI | 1780815449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP18899) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN463455) |
| 164W00000X Licensed Practical Nurse (Licence: CA NP18899) | |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2023-08-02 |