| NPI | 1356338354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 6257) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 333036) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2022-07-21 |