| NPI | 1629273461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19779) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 765649) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2013-07-01 |