| NPI | 1972727865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 8116) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 280700) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2022-11-30 |