| NPI | 1023445921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000282) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 815198) |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2014-01-29 |