| NPI | 1073612776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP18465) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9356270) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2019-08-13 |