| NPI | 1649509134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20656) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9232475) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2013-08-28 |