| NPI | 1891762647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 12116) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 242214) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2015-08-20 |