| NPI | 1619901998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP161) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA NP161) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2010-06-09 |