| NPI | 1487974374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NPF95001103) |
| Additional Taxonomies | 101Y00000X Counselor |
| 163W00000X Registered Nurse (Licence: CA 95001103) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2014-12-05 |