| NPI | 1912096942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 15058) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 868844) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2022-02-11 |