| NPI | 1255609913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP20608) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP 20608) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2012-02-23 |