| NPI | 1093888042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP14600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9349406) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2016-07-13 |