| NPI | 1811274327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20821) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 706754) |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2013-08-29 |