| NPI | 1346532397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 302356) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP20503) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2018-09-19 |