| NPI | 1306264635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000381) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95000381) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-12-13 |