| NPI | 1689110322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95006027) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95053114) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-03-27 |