| NPI | 1497765333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA NPF290) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: CA NPF290) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2010-01-12 |