| NPI | 1710036108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA RN308585) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NPF1229) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |