| NPI | 1508186644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005748) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 755783) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2018-07-05 |