| NPI | 1043254998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 514094) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 7838) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2009-01-15 |