| NPI | 1366786030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007301) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA PHN 85120) |
| 163WC1500X Registered Nurse, Community Health (Licence: CA 810535) | |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2017-10-21 |