| NPI | 1952382350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 7113) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 344199) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2018-03-15 |