| NPI | 1306287883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP842009) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 23084) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2020-06-02 |