| NPI | 1053676601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23246) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA RN840680) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2023-07-20 |