| NPI | 1376927806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004136) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95054485) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2016-04-22 |