| NPI | 1558537761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009341) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP19732) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2013-08-29 |