| NPI | 1316948235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA MD13953) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN43220) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2007-07-08 |