| NPI | 1326001439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 481610) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 481610) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: CA 481610) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2007-09-14 |