| NPI | 1689015307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95001457) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170985) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2014-11-01 |