| NPI | 1528135365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP 9714) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA RN370840) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-12-03 |