| NPI | 1245420074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA RN665150) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200850060) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2013-09-09 |