| NPI | 1366624090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA np17865) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 593924) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2009-02-26 |