| NPI | 1114020997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP21534) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ AP2523) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2021-03-29 |