| NPI | 1922090422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 12041) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP12041 RN 546704) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2019-10-21 |