| NPI | 1801077961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19672) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 713092) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2013-04-02 |