| NPI | 1205011996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 17613) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: CA 282806) |
| Enumeration Date | 2008-01-01 |
| Last Update Date | 2019-02-06 |