| NPI | 1023137643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 17179) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: CA 529235) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2016-02-04 |