| NPI | 1043201114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP17203) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 178245) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2014-07-31 |