| NPI | 1033424569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 22874) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2261734) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2020-10-09 |