| NPI | 1598107096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23184) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA 23184) |
| 282N00000X General Acute Care Hospital (Licence: CA 23184) | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |