| NPI | 1003353723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 767212) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist Family Health (Licence: CA 95005673) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-26 |