| NPI | 1083918445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23515) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-1255) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R173553) | |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2014-03-05 |