| NPI | 1336393776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 6196) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 395898) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2014-12-31 |