| NPI | 1134202948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 14791) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 463002) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2021-02-01 |