| NPI | 1548441579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000887) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: CA 477882) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2019-04-05 |