| NPI | 1265860167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 23292) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 23292) |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2015-04-23 |