| NPI | 1932512365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 17495) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 601136) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-11-17 |