| NPI | 1710172135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 17488) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 608951) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2025-11-28 |