| NPI | 1316271745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 735612) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 735612) |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: CA 735612) | |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2019-11-12 |