| NPI | 1033231618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9333900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP 16371) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2017-04-17 |