| NPI | 1083940522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 18708) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 363801) |
| Enumeration Date | 2009-10-18 |
| Last Update Date | 2017-10-17 |