| NPI | 1871823237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 20882) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA20648) |
| 363L00000X Nurse Practitioner (Licence: CA NP20882) | |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2015-06-18 |