| NPI | 1740528082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 584306) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA19111) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2014-05-12 |