| NPI | 1992758866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA FNP7430) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 371409) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2011-07-28 |