| NPI | 1023190014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP16641) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 16641) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2010-07-16 |