| NPI | 1235170564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF9514) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200650010NP FNP-PP) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2009-07-20 |