| NPI | 1306031703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 17356) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201509470NP-PP) |
| Enumeration Date | 2007-09-09 |
| Last Update Date | 2016-02-18 |