| NPI | 1861605750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 3617-033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP15327) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2011-12-16 |