| NPI | 1548479181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP5171) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA RN377730NP5171) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2017-03-01 |