| NPI | 1972881563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21216) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 507975) |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2016-02-10 |