| NPI | 1841275328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA FNP8571) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA RN336064) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2016-09-02 |