| NPI | 1316291099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95010775) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 802460) |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2019-01-03 |