| NPI | 1386978617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 18074) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 255801) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2021-09-10 |