| NPI | 1093989402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP17021) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 616440) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2014-09-23 |