| NPI | 1225126170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 14707) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 612829) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2016-09-19 |