| NPI | 1730404450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP 18410) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN 588827) |
| 363L00000X Nurse Practitioner (Licence: CA NP 18410) | |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2016-09-06 |