| NPI | 1760716765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19108) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 651754) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2015-11-12 |