| NPI | 1265434385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA RN CA326459, NP8826) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA13939) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2013-12-26 |