| NPI | 1154598704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 12164) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: CA RN415092) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2016-08-22 |