| NPI | 1922204551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 55023) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP10764) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2018-06-19 |