| NPI | 1962573105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017064) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 516348) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2021-06-08 |