| NPI | 1306997747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95004233) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 131292) |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2018-04-05 |