| NPI | 1598813123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 560764) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 560764) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2014-09-08 |