| NPI | 1295037760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 18150) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 18150) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2020-02-13 |