| NPI | 1861984395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95009238) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA F05180723) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2021-01-25 |