| NPI | 1053384891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 15637) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-082513) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2015-03-30 |