| NPI | 1366467979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist Family Health (Licence: CA 134386) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: CA PA11807) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-11-03 |