| NPI | 1669684395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA g332328) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA G332328) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |