| NPI | 1942378583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 11933) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 15798) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2018-10-22 |