| NPI | 1508171356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 15063) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011155) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2023-08-02 |