| NPI | 1942527445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 19598) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 600749) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |