| NPI | 1790873230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 19547) |
| Additional Taxonomies | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: CA RN494223) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2010-03-10 |