| NPI | 1679898282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 7111) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 411574) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2016-04-19 |