| NPI | 1831318153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NPF7765) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA RN494992) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2013-09-30 |