| NPI | 1194900662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA RN467740) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |