| NPI | 1467558791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP11825) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 11825) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2018-07-10 |