| NPI | 1245350347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA RN223846) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP2720) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |