| NPI | 1912300773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95000619) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 478063) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |