| NPI | 1437286093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA Cert # 14913) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA R402512) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 402512) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA R402512) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2018-03-17 |