| NPI | 1164517850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 1092) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 10692) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-10-30 |