| NPI | 1467512145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP13859) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 13859) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2015-07-24 |