| NPI | 1033356969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 22245) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 23815) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2012-08-22 |