| NPI | 1407838568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP7203) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA RN 457779) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2007-07-08 |