| NPI | 1073054334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005012) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 536000) |
| Enumeration Date | 2017-03-19 |
| Last Update Date | 2019-05-10 |