| NPI | 1558690677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 5470) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 397281) |
| Enumeration Date | 2009-12-19 |
| Last Update Date | 2017-02-20 |