| NPI | 1306141676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP20261) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 20261) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2016-03-29 |