| NPI | 1972680650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 11067) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 406778) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2017-03-24 |