| NPI | 1033356696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 276639) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 12311) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA mw0801200) | |
| Enumeration Date | 2009-01-18 |
| Last Update Date | 2009-01-18 |