| NPI | 1619109287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 18945) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 451605) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2011-12-08 |