| NPI | 1134103559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008863) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA NP9188) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2016-03-08 |