| NPI | 1801078530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 17608) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 644351) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2021-12-01 |