| NPI | 1124090873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 15370) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 646111) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2016-03-10 |