| NPI | 1730215096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA PHN 70874) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP 6455) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2013-01-09 |