| NPI | 1801035043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 18821) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: CA 236717) |
| 163WC1500X Registered Nurse, Community Health (Licence: CA 19099) | |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |