| NPI | 1982879961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 11248) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164388) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2010-06-03 |