| NPI | 1831428028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19532) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA A45158) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2018-03-17 |