| NPI | 1366810517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95004439) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015327) |
| 363L00000X Nurse Practitioner (Licence: PA SP015327) | |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2016-10-17 |