| NPI | 1649408329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA RN546883) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 13703) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2010-04-12 |