| NPI | 1073799300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 12039) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 401731) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2017-10-23 |