| NPI | 1538237177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP17901) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R162215) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2014-08-27 |