| NPI | 1992942478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 18765) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 710427) |
| 163W00000X Registered Nurse (Licence: NJ 26NR11166600) | |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2013-01-15 |