| NPI | 1386992048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP23764) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201242836RN) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2014-05-06 |