| NPI | 1699988824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP20832) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 252597) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2019-07-03 |