| NPI | 1871784033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 553885) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: CA 553885) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2009-01-22 |