| NPI | 1033500046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-094939) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 591806) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2023-05-31 |