| NPI | 1861908873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008247) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000023371) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2018-03-17 |