| NPI | 1326057092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 21484) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R48284) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-04-20 |