| NPI | 1013934934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 12986) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 12986) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2007-07-08 |