| NPI | 1326163684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 11822) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 469133) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-12-01 |