| NPI | 1356863831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006845) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000022542) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |