| NPI | 1639558224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 95002202) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 760280) |
| 163WC1400X Registered Nurse, College Health (Licence: CA 760280) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2016-01-04 |