| NPI | 1891150918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95006974) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 826216) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2021-12-21 |