| NPI | 1649606914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002785) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: CA 506974) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2015-09-15 |