| NPI | 1023021763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF11252) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA RN390406) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2023-12-28 |