| NPI | 1457665424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA F95013879) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5004916) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60172249) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2021-02-23 |