| NPI | 1578924494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004010) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95048154) |
| Enumeration Date | 2016-03-20 |
| Last Update Date | 2017-03-28 |