| NPI | 1013947910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 15930) |
| Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: CA 580191) |
| 163W00000X Registered Nurse (Licence: CA 580191) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2024-06-03 |