| NPI | 1841449899 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 10525)  | 
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CA 2154)  | 
| Enumeration Date | 2008-09-15 | 
| Last Update Date | 2008-09-15 |