| NPI | 1497941611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018614) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN835243) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2021-09-30 |