| NPI | 1700913795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NPF5052) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA RN322898) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-12-22 |