| NPI | 1730160961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 090006650N1-FNP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 090006650N1-FNP-PP) |
| Enumeration Date | 2005-11-05 |
| Last Update Date | 2015-02-09 |