| NPI | 1144317645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NPFL 9983) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NPF9983) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2021-11-30 |