| NPI | 1932452323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001961) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 826161) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2017-02-08 |