| NPI | 1861543563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA K293431) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NP12518) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-29 |