| NPI | 1437597309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20625) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 708990) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-08-28 |