| NPI | 1861417917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 8755) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 526954) |
| 363L00000X Nurse Practitioner (Licence: CA 8755) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2018-09-11 |