| NPI | 1679517205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP13565) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN301668) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2016-09-22 |