| NPI | 1871791509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184069) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 623443) |
| 163W00000X Registered Nurse (Licence: VA 0001308569) | |
| 363L00000X Nurse Practitioner (Licence: CA 17159) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2022-09-02 |