| NPI | 1982943239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21767) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 990071-NP) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |