| NPI | 1316906076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA RN 252378) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 14948) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2013-08-09 |