| NPI | 1215379276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 22936) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 22936) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2015-10-05 |