| NPI | 1205104726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 264649) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F0911050) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2021-11-29 |