| NPI | 1538291562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA NPF9496) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: CA RN352832) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-02-29 |