| NPI | 1265413991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 10812) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005579) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 364967) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2023-11-09 |