| NPI | 1073821724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: CA 20193) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 752728) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2013-12-12 |