| NPI | 1346216363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP9633) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA OPA146110) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2013-12-11 |