| NPI | 1134359359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 391200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 16101) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2012-11-19 |