| NPI | 1184602989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP8426) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA RN327824) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2012-09-27 |