| NPI | 1497803431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP3818) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 336904) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2019-01-23 |