| NPI | 1821373051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN659171) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP20951) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |