| NPI | 1336502343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23414) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0001257807) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |