| NPI | 1942692868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002224) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 839468) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-11-17 |