| NPI | 1316265846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19575) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 739328) |
| 363L00000X Nurse Practitioner (Licence: CA FNP19575) | |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2016-12-03 |