| NPI | 1477956688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95001934) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 696651) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2016-11-09 |