| NPI | 1477919751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005392) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 813028) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173233) | |
| Enumeration Date | 2016-01-03 |
| Last Update Date | 2017-01-08 |