| NPI | 1558794909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA CA 22482) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV aprn001577) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2015-11-10 |