| NPI | 1023094331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP10461) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN549204) |
| 207Q00000X Family Medicine (Licence: CA NP10461) | |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2019-01-23 |