| NPI | 1366637183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20461) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 003676) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2018-07-25 |