| NPI | 1447235585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200250002np-pp) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 418864) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2019-07-31 |