| NPI | 1396719357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9295578) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 355506) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 15681) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2016-04-28 |