| NPI | 1083967269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 22098) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP06911) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2023-02-08 |