| NPI | 1518100031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 22363) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2267768) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9227228) | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2015-12-15 |