| NPI | 1760735567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 22509) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 22509) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2016-08-26 |