| NPI | 1740514355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 248530) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 751834) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2019-01-07 |