| NPI | 1790777100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 14768) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OR 083045668RN) |
| 363L00000X Nurse Practitioner (Licence: OR 200450018NP) | |
| 364SX0200X Clinical Nurse Specialist, Oncology (Licence: OR 200570025CNS) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2016-05-31 |