| NPI | 1205019510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 17852) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170446) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2018-03-17 |