| NPI | 1295118818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA F0615815) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 1980) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2022-06-06 |