| NPI | 1831634708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95005876) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN9503240) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95005876) | |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2017-03-31 |