| NPI | 1033368600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19477) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 46234) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2009-11-19 |