| NPI | 1447428842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 6771) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 406058) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2009-02-26 |