| NPI | 1043688542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95002718) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 793631) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95002718) | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2016-11-09 |