| NPI | 1952612368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 18800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APN001206) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2020-04-22 |