| NPI | 1720102544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA RN425663) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF14433) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |