| NPI | 1235478074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19015) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 342093) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |