| NPI | 1346246469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 10821) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 277159) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2020-01-10 |