| NPI | 1821136326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 12897) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 517221) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2022-01-03 |