| NPI | 1568792927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20799) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 750645) |
| 163WC1500X Registered Nurse, Community Health (Licence: CA 75923) | |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2012-03-05 |