| NPI | 1134256126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA RN206859) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF10513) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |