| NPI | 1336368976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP10918) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 469068) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-12-23 |