| NPI | 1750681227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 2N523580NP19695) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 19695) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2017-05-24 |