| NPI | 1609903699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF1047) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA RN 296236) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2022-10-13 |