| NPI | 1861742025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 22382) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201501459NP-PP) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2015-04-23 |