| NPI | 1821232778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP17592) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP17592) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP17592) | |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2017-06-23 |