| NPI | 1760765333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA npf23004) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 2011009230) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2018-04-09 |