| NPI | 1962597575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP8403) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP8406) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-12-15 |