| NPI | 1316208804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21849) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 774794) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2015-10-20 |