| NPI | 1871934414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000818) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 834647) |
| 163W00000X Registered Nurse (Licence: NY 658325) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 338525) | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2022-10-28 |