| NPI | 1982133906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 1982133906) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 757205) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2020-01-16 |