| NPI | 1083707319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 15545) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 632547) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2018-11-20 |