| NPI | 1285827956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA F1208135) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OR 200850139NP) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2015-05-21 |