| NPI | 1326021320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP793) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 237030) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2021-02-04 |