| NPI | 1871595215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP14230) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OR 201150093NP) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2019-07-25 |