| NPI | 1679871172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19487) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 376346) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |