| NPI | 1386014272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002933) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95059912) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2018-03-06 |