| NPI | 1841686623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002460) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 844872) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-09-16 |