| NPI | 1649646738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008093) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CA 95066255) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2017-12-09 |