| NPI | 1417394784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA NP21611) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 21611) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2017-08-22 |