| NPI | 1346385945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170161) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP9894) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2019-08-22 |