| NPI | 1336570076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001702) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN/NP2277897) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2015-12-29 |