| NPI | 1619370475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 2390) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist Family Health (Licence: CA 366704) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-12-03 |