| NPI | 1508098294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 467770) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 467770) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2016-10-07 |