| NPI | 1164825717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004398) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95034994) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2016-06-30 |